Mock Exam Flashcards

1
Q

Which statements will be CORRECT for motivational interviewing?

  1. The clinician’s role is to circle goals, and to use reflection and summarising with an individual
  2. The clinician’s role is to question in depth the goals of the individual
  3. The clinicians role is to engage the patient and develop rapport
  4. The clinicians role is to scope out all the needs of the patient prior to planning

A. The answer is 1 and 2.
B. The answer is 2 and 3
C. The answer is 1 and 3
D. The answer is 1 and 4

A

C. The answer is 1 and 3

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2
Q

All of the following may be used in the treatment of
dysthymic disorder except:

A. Lithium
B.Antipsychotics
C.Oestrogen
D. Phenergan

A

Phenergan

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3
Q

Circle the INCORRECT statement

A. There are three stages to assessing suicide risk

B. Patients who are at high risk should be re-assessed within 7 days

C. Patients at risk may have passing thoughts of suicide or self-harm

D. Patients at risk must have an action plan developed for them

A

B. Patients who are at high risk should be re-assessed within 7 days

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4
Q

Circle the incorrect answer from the below statements about the psychological symptoms experienced by patients with chronic kidney disease

A. The biggest psychological impacts upon the patient is depression

B. The biggest psychological stress is not associated with the disease but with
the medications and their side effects

C. Patients with CKD are impacted psychological because of the increased need to see health professionals

A

B.The biggest psychological stress is not associated with the disease but with the medications and their side effects

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5
Q

One of the following statements about Basal cell carcinoma is correct.

  1. Basal cell carcinoma is the commonest form of skin cancer
  2. It accounts for 2/3rds of all skin cancers
  3. Found most commonly in females
  4. It presents as a superficial lesion, and has translucent
    pearly borders

A. The answer is 1 and 2 only
B. The answer is 1, 3 and 4.
C. The answer is 1, 2 & 4
D. The answer is all of them

A

C. The answer is 1, 2 & 4

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6
Q

Which one of the following statements about Squamous cell carcinoma is correct?

  1. Squamous cell carcinoma is a common skin cancer
  2. It is of greater concern than BCC as it is an invasive cancer
  3. It presents as thick roughened skin
  4. It does not appear on the mucous membranes

A. The answer is 1 and 2 only
B. The answer is 1, 2 and 3
C. The answer is 1, 2 & 4
D. The answer is all of them

A

C. The answer is 1, 2 & 4

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7
Q

Which of the below statements show the nursing approach to manage for factors of culture and language that may impact an individual’s ability to self-manage their chronic illness.

  1. Assess cultural and religious perspectives.
  2. Assess how illness impacts them.
  3. Asses their physical and mental condition
  4. Understand their fears about illness, death and dying.

A. The answer is 1 and2
B. The answer is 1, 2 and 3
C. The answer is 1, 2 and 4
D. The answer is ALL of them

A

C. The answer is 1, 2 and 4

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8
Q

The Clinicians role in each of the Corbin and Strauss Illness Trajectory phases are correctly identified in which of the below statements.

  1. The clinician’s role in the stable phase is to help the Individual maintain health and prevent deterioration.
  2. The clinician’s role in the trajectory phase is to help the individual to plan in order to maintain health and prevent deterioration.
  3. The clinician’s role in the unstable phase is to remove the threat to life.
  4. The clinician’s role in the dying phase is to help the individual to adapt with each major downward turn in disability.

A. The answer is 1 and 2
B. The answer is 1, 2 and3
C. The answer is 2, 3 and 4
D. The answer is 2 and 4

A

A. The answer is 1 and 2

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9
Q

Briefly describe what Marjolin’s Ulcer is?

A

Marjolins ulcer is the relatively rare but aggressive transformation of a chronic wound into a degenerative malignant skin lesion. It can occur in burns, osteomyelitis, leg ulcers, pressure ulcers and fistulae

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10
Q

How would you promote wound healing in this patient?

A

Encourage her to have a diet high in essential vitamins and minerals

Encourage her to give up smoking, identify any barriers and assess her confidence to change this, apply appropriate dressings, monitor for infection, and avoid irritating solutions on skin

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11
Q

What are the topical agents suggested by Chang &

Johnson that promote haemostasis in malignant wounds?

A

Calcium alginate dressings, cautery with silver nitrate stix or solution, ostomy hydrocolloid powders that contain gelatine or pectin

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12
Q

What are the extra absorbent dry dressings that Chang & Johnson mentions that could be used on this wound?

A

Zetuvit, Mesorb or Exu-dry

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